Developing an HIV-prevention intervention for HIV-infected men who have sex with men in HIV care: Project enhance

Robert O. Knauz, Steven A. Safren, Conall O'Cleirigh, Benjamin D. Capistrant, Jeff R. Driskell, Daniel Aguilar, Liz Salomon, Jeremy Hobson, Kenneth H. Mayer

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Men who have sex with men (MSM) represent the largest group with HIV in the U.S. (CDC 2005). Interventions for prevention with HIV-infected MSM are urgently needed, and integrating prevention into HIV care represents one opportunity for this advancement. This article describes the development and results of initial pilot testing of a behavioral intervention to reduce HIV sexual risk transmission behavior for HIV-infected MSM that is integrated into HIV care. To illustrate our intervention development process, we describe the setting and population (HIV-infected MSM patients at Fenway Community Health in Boston) for the project, the initial conceptualization of the project including its guiding conceptual model (information, motivation, and behavioral skills model, IMB: Fisher and Fischer 1993), the iterative process of attaining and integrating input from stakeholders, the use of peer interventionists, the open phase pilot and participant input, an overview of the intervention content, and, finally, lessons learned. The result of this process is an example of an intervention developed with strong input from the community and other stakeholders, which is ready for further testing in a randomized controlled trial.

Original languageEnglish (US)
Pages (from-to)S117-S126
JournalAIDS and Behavior
Issue numberSUPPL. 1
StatePublished - Sep 2007
Externally publishedYes


  • Behavioral intervention
  • HIV Prevention
  • MSM
  • Treatment development

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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